Dr Gregory Brent Hagedorn, OD | |
1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | |
(270) 826-1500 | |
(270) 827-0757 |
Full Name | Dr Gregory Brent Hagedorn |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1413 N Elm St, Henderson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316905169 | NPI | - | NPPES |
77010163 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1016DT (Kentucky) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | 1016DT (Kentucky) | Secondary |
Provider Name | Crystal S Oliver Od Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760990568 PECOS PAC ID: 3678833803 Enrollment ID: O20180208002411 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Brent Hagedorn, OD Po Box 577, Henderson, KY 42419-0577 Ph: (270) 826-1500 | Dr Gregory Brent Hagedorn, OD 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 Ph: (270) 826-1500 |
Sally M Fife, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 300 9th St, Henderson, KY 42420 Phone: 270-827-8681 Fax: 270-826-7687 | |
Advanced Eyecare Associates, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1997 Barrett Ct, Henderson, KY 42420 Phone: 270-826-9966 Fax: 270-827-1206 | |
Dr. Rachel M Hayden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1413 N Elm St Ste 102, Henderson, KY 42420 Phone: 270-826-1500 | |
Family Vision Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 9th St, Henderson, KY 42420 Phone: 270-827-8681 Fax: 270-826-7687 | |
Dr. Sara Lynn Sagez-barnett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1035 N Elm St, Henderson, KY 42420 Phone: 270-577-1724 | |
Dr. Crystal Stone Oliver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1413 N Elm St, Suite 102, Henderson, KY 42420 Phone: 270-826-1500 |